Displaying 221491-221500 of 1611142 results.
ID:
221491
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221492
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221493
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221494
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221495
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221496
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221497
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221498
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221499
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221500
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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